Outpatient procedure · APC 5163 · Surgery or procedure

Level 3 ENT Procedures

In 2024, Medicare and patients paid an average of $1,397 per procedure at 177 hospitals. Half of hospitals averaged between $1,285 and $1,472.

Also known as: Ear, nose and throat surgery, sinus surgery

National figures, 2024

Average payment per case: $1,397
Typical range (middle half of hospitals): $1,285–$1,472
Medicare’s share: $1,10679% of the payment
Average billed charge: $6,801
Hospitals reporting: 1775,010 procedures

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Year of care

173 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Level 3 ENT Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Memorial Hospital At GulfportGulfport, MS · CCN 250019	11	$512	63% below the national average	$408	$9,084
MetroHealth SystemCleveland, OH · CCN 360059	20	$516	63% below the national average	$250	$5,836
Rutland Regional Medical CenterRutland, VT · CCN 470005	12	$596	57% below the national average	$288	$2,795
Concord HospitalConcord, NH · CCN 300001	16	$637	54% below the national average	$502	$1,775
Carilion Medical CenterRoanoke, VA · CCN 490024	20	$670	52% below the national average	$533	$2,352
Carle Foundation HospitalUrbana, IL · CCN 140091	25	$733	48% below the national average	$575	$6,548
University Of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 470003	59	$749	46% below the national average	$444	$3,653
Yuma Regional Medical CenterYuma, AZ · CCN 030013	12	$761	46% below the national average	$606	$4,192
Blessing HospitalQuincy, IL · CCN 140015	28	$766	45% below the national average	$611	$3,603
University Of Kansas HospitalKansas City, KS · CCN 170040	62	$772	45% below the national average	$615	$4,953
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064	19	$783	44% below the national average	$624	$2,802
Yakima Valley MemorialYakima, WA · CCN 500036	12	$784	44% below the national average	$620	$3,434
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302	12	$798	43% below the national average	$521	$600
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 360003	22	$892	36% below the national average	$706	$7,740
The Nebraska Medical CenterOmaha, NE · CCN 280013	46	$974	30% below the national average	$769	$2,518
Ochsner Medical Center AcuteNew Orleans, LA · CCN 190036	12	$994	29% below the national average	$774	$12,795
Temple University HospitalPhiladelphia, PA · CCN 390027	12	$999	29% below the national average	$796	$26,511
Ephraim McDowell Regional Medical CenterDanville, KY · CCN 180048	11	$1,026	27% below the national average	$818	$5,212
Baptist HospitalPensacola, FL · CCN 100093	17	$1,040	26% below the national average	$824	$8,532
O U Medical CenterOklahoma City, OK · CCN 370093	12	$1,051	25% below the national average	$822	$25,751
Fmol Health St FrancisMonroe, LA · CCN 190125	11	$1,084	22% below the national average	$827	$4,214
Christus Central Louisiana Surgical HospitalAlexandria, LA · CCN 190298	30	$1,145	18% below the national average	$877	$14,223
Mountain View HospitalIdaho Falls, ID · CCN 130065	22	$1,148	18% below the national average	$915	$1,171
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 300003	90	$1,149	18% below the national average	$908	$2,831
West Virginia University Hospitals, IncMorgantown, WV · CCN 510001	40	$1,151	18% below the national average	$892	$5,857
Vanderbilt University Medical CenterNashville, TN · CCN 440039	89	$1,175	16% below the national average	$925	$8,458
Ochsner LSU Health ShreveportShreveport, LA · CCN 190098	17	$1,179	16% below the national average	$921	$10,369
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	75	$1,192	15% below the national average	$948	$6,068
MercyOne Des Moines Medical CenterDes Moines, IA · CCN 160083	19	$1,201	14% below the national average	$930	$11,120
Parma Community General HospitalParma, OH · CCN 360041	11	$1,208	14% below the national average	$943	$4,566
Princeton Community Hospital Assn IncPrinceton, WV · CCN 510046	16	$1,211	13% below the national average	$951	$5,060
Our Lady Of The Lake Regional Medical CenterBaton Rouge, LA · CCN 190064	15	$1,221	13% below the national average	$959	$16,099
University Of Missouri Health CareColumbia, MO · CCN 260141	24	$1,233	12% below the national average	$979	$8,987
Bethesda NorthCincinnati, OH · CCN 360179	13	$1,245	11% below the national average	$975	$9,516
St Francis Hospital- Emory HealthcareColumbus, GA · CCN 110129	16	$1,249	11% below the national average	$992	$5,299
King's Daughters' Medical CenterAshland, KY · CCN 180009	21	$1,250	11% below the national average	$980	$7,611
Presbyterian HospitalAlbuquerque, NM · CCN 320021	11	$1,252	10% below the national average	$978	$2,261
Ochsner Rush HospitalMeridian, MS · CCN 250069	36	$1,262	About average	$1,004	$5,882
Lafayette Surgical Specialty HospitalLafayette, LA · CCN 190259	18	$1,268	About average	$1,010	$6,496
University Of Alabama HospitalBirmingham, AL · CCN 010033	40	$1,273	About average	$1,014	$11,834
Wheeling Hospital, IncWheeling, WV · CCN 510050	11	$1,276	About average	$1,017	$9,205
Freeman Health System - Freeman WestJoplin, MO · CCN 260137	23	$1,282	About average	$1,021	$3,869
Rush University Medical CenterChicago, IL · CCN 140119	40	$1,283	About average	$1,020	$5,551
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 390338	14	$1,285	About average	$998	$13,226
AdventHealth HendersonvilleHendersonville, NC · CCN 340023	39	$1,286	About average	$1,025	$4,454
Methodist Hospitals Of MemphisMemphis, TN · CCN 440049	13	$1,288	About average	$1,025	$6,887
Bailey Medical Center, LLCOwasso, OK · CCN 370228	11	$1,295	About average	$1,032	$13,884
Tulsa Spine & Specialty HospitalTulsa, OK · CCN 370216	12	$1,295	About average	$1,032	$13,670
Cleveland ClinicCleveland, OH · CCN 360180	251	$1,296	About average	$1,030	$4,189
Memorial Healthcare System, IncChattanooga, TN · CCN 440091	14	$1,300	About average	$1,036	$9,241

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 4,105 procedures at 155 hospitals · 2021: 4,526 procedures at 158 hospitals · 2022: 4,342 procedures at 167 hospitals · 2023: 4,579 procedures at 176 hospitals · 2024: 5,010 procedures at 177 hospitals

View data as a table

National average payment and billed charge for Level 3 ENT Procedures
Year of care	Average payment	Average billed charge
2020	$1,316	$5,871
2021	$1,344	$5,442
2022	$1,335	$6,231
2023	$1,313	$6,690
2024	$1,397	$6,801

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 45 states

Average payment by state for Level 3 ENT Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	2	71	$723	$634–$710
Arizona	2	31	$774	$767–$777
Kansas	2	74	$873	$927–$1,239
Nebraska	1	46	$974	$974–$974
Mississippi	2	47	$1,086	$700–$1,074
New Hampshire	3	119	$1,114	$893–$1,306
Louisiana	6	103	$1,159	$1,099–$1,210
Virginia	4	80	$1,192	$1,152–$1,336
Tennessee	3	116	$1,203	$1,232–$1,294
Ohio	7	358	$1,223	$1,050–$1,270
West Virginia	5	97	$1,241	$1,211–$1,340
Illinois	7	217	$1,243	$1,025–$1,430
Idaho	2	40	$1,260	$1,210–$1,335
Kentucky	4	63	$1,262	$1,194–$1,344
Alabama	1	40	$1,273	$1,273–$1,273
Oklahoma	5	77	$1,299	$1,295–$1,314
Arkansas	1	17	$1,307	$1,307–$1,307
South Carolina	2	97	$1,316	$1,316–$1,316
North Carolina	4	130	$1,320	$1,300–$1,344
Missouri	4	77	$1,330	$1,270–$1,439
Michigan	7	221	$1,334	$1,325–$1,360
Florida	4	170	$1,347	$1,296–$1,382
Pennsylvania	14	351	$1,351	$1,323–$1,452
Iowa	3	98	$1,352	$1,271–$1,410
Georgia	4	62	$1,354	$1,327–$1,415
New Mexico	3	72	$1,358	$1,290–$1,381
Utah	1	19	$1,366	$1,366–$1,366
Indiana	7	119	$1,378	$1,360–$1,384
Texas	6	153	$1,383	$1,365–$1,414
Maine	3	44	$1,393	$1,381–$1,433
Wisconsin	5	167	$1,418	$1,389–$1,447
Montana	3	71	$1,427	$1,414–$1,516
North Dakota	2	48	$1,430	$1,430–$1,430
Colorado	1	36	$1,452	$1,452–$1,452
Minnesota	5	84	$1,457	$1,420–$1,447
South Dakota	4	78	$1,469	$1,423–$1,531
District of Columbia	1	14	$1,472	$1,472–$1,472
Washington	6	129	$1,473	$1,489–$1,539
Delaware	1	13	$1,530	$1,530–$1,530
Oregon	1	36	$1,600	$1,600–$1,600
Massachusetts	9	426	$1,622	$1,638–$1,638
New York	8	127	$1,631	$1,550–$1,732
Connecticut	1	12	$1,716	$1,716–$1,716
New Jersey	1	12	$1,716	$1,716–$1,716
California	10	548	$1,911	$1,813–$1,929

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.